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HomeMy WebLinkAbout2519 Eastwood Dr - Applications/Addition or Alteration - 07/20/2005BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER- 3-7 (a � APPLICATION DATE -7 ^ aO - (0 S Job Site Address 4k5VA K61c Unit# C, PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # rl � - 't `4 �9 A q i1 Last Name a ya\2 et -C First Name @^f C l Middle L- Street Address �^�5 9 �o s�l>lc]Oc, L] City ''//Statte/ Q 03 Zip �505 2 CONTRACTOR INFO: Company Name %�S�t7vv%gte �ciFYC Contractor Phone# TO—f'a-7` 0 Lic. Holder Name nPt r e-- ��K e, C City of Fort Collins License #$-35�0 Supervisor Cart # oa Mailing Address '�LSl q �Ir City V"O-c -k- C©\\i vac State C Zip LEGAL INFO: ff�� (0,'36U Subdivision/PUD Ott.< \Z Wocn��QS-� Filing # Lot # 33 Block # Lot Sq F _ CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft (O Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units <Qx�i 15' Floor Sq Ft 2^tl Floor Sq Ft `�L�D Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths �_ % Baths '/2 Baths # of Fireplaces Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # List appropriate option #s f�v, 1 UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ �� dt- — ` �� 000 Description of Work: Sr \t �nck Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical �O L+.9Z_' Mechanical Framer Roofing Concrete Plumbing `O'C )O� Qc\P Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of F ollins ordinances and state laws regulating building construction. Applicant Signatu i(T�h` /�� Print Name �.{ r, /-r /i(. !l 1��h Phone M V7 yLL Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE